Quang Trong Le Do Pa

NPI Provider: 1417954389
Contact Name: Le Trong Quang
Position: Owner
Phone: (817) 731-1289

Quang Trong Le Do Pa Information:

Quang Trong Le Do Pa organization have npi 1417954389, taxonomy code is 207R00000X with license number is L6096 in . This Business address located in 2550 River Park Dr, Fort Worth, TX 76116 Texas.

Practice Location
Address: 2550 River Park Dr, Fort Worth, TX 76116
Phone: (817) 731-1289

Business Location
Address: 2550 River Park Dr, Fort Worth, TX 76116
Phone: (817) 731-1289
Fax: (817) 731-1291

Taxonomy

Taxonomy Code: 207R00000X

License Number: L6096

License Number of State: TX

Primary Taxonomy Switch: Y

Enumeration Date: 7/7/2005

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